Report #2854878

Received Aug 20, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 12 yrs
State: IA
Recovered: Recovered
Vaccinated: Aug 19, 2025
Onset: Aug 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	Y97n7	IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

No adverse events occurred. Clinic Director immediately notified. Proper process initiated to determine further action, if needed. Notified by Department of Public Health Nurse that the dose was sufficient. Patient's mother notified per protocol.

Current illness

none

Medical history

none

Other medications

none

Lab data

none